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of the civilized -- >> that's right. we spend more money on healthcare. >> bill: we obviously are not spending our money wisely. >> very efficiently. i think that's an accurate statement. yes, given the findings of this report. >> wow. >> bill: too much on medical arms race or maybe still call it? and not enough on prevention? >> well, certainly that may be part of it. the emphasis on prevention. we also have to think of how social policy, economic policy, other factors community development policies have implicationses for health. for example we have a society that's highly based on automobile transportation just to give you an example. thats a unintended implicationses for health. physical activity, for injuries. so i think one of the key things the committee found is we really need to look very broadly at a whole range of factors because this is such a systemic problem across multiple different conditions. not just a single or a couple factors. >> i think that's interesting because you think about the health. i think the overall issue is you've got the establishment of our healthcare system and
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